Business Name Owner Name Main Contact Name Email Address Business Address Street Address Street Address Line 2 City Province Postal Code Country CanadaUnited States Phone Number Cell Phone Number Number of years in business How many locations? Type of business Tire DealerAuto RepairCar DealerOther If you selected "Other", please specify Accounts Payable Contact Name Accounts Payable Email Address Accounts Payable Phone Number Requested Payment Terms (select one) C.O.D.Net 30 (application required) Email Address for Marketing Materials Website How many service bays do you have? Do you offer tire storage? YesNo Do you offer a courtesy vehicle for your customers? YesNo Do you have a waiting room? YesNo Do you like to take advantage of volume discounts? YesNo Do you take advantage of consumer rebates to sell tires? YesNo What is most important to you in a tire distributor? ServiceSelectionDeliveryPriceMarketing AssistanceWarranty How did you hear about us?
